2014, 06-11 Permit App: BLD-2014-1336 Reroof Community Development Department
Permit Center (Staff Use Only)
Spol�ane 11703 East Sprague 9920 AVan0e;Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
Valley. Tel: (509) 688-0036
Fax: (509) 688-0037 PERMIT FEE:
permitcenter sookanevallev.orq
REROOF CONSTRUCTION PERMIT APPLICATION
E COMMERCIAL "+RESIDENTIAL
SITE ADDRESS: l 3 g o 3 7 - ' c-
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: /�cyG.e `6le !w e ee Lc�JC
NAME Robert and Melanie Heacock
13908 E 27th Ct.
ADDRESS: Spokane Vly,WA 99037
CITY: 5",-)Y6/c,
ZIP:
PHONE: I Ll c' c76) FAX: CELL: c') - 2.r-c y
CONTACT NAME: ram
PHONE: FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY: STATE: .ZIP:.
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIB T1-1 SCOPE OF WORK IN DETAIL AND INDICATE USE:
/N G fI d r^,( -f-,) /j�� 'f c " (fir , a
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Tear Off I Overlay
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if this permit is for construction or on a dwelling,the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be re ired to be submitted and s bsequently approved before this application can be processed.
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Signature Date:( /
Updated 1-11-11 Page 1 of 1
http://www.spokaneva Iley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc